Liposuction of neck and lower face results and longevity are very much affected by numerous factors. These include patient age and genetics, pre/post treatment overall health and lifestyle, surgical technique, and approach and, most importantly, post-operative skin and aesthetic maintenance treatments. In our experience, deeper tissue repositioning with volume replacement and skin resurfacing provide the most natural looking and long-lasting facial rejuvenation results. A personalized medical skin care program will be recommended after surgery and, along with aesthetic maintenance treatments, can extend youthful results far longer than traditional liposuction of the neck and face operative techniques.